When supplementing with GhRh (Sermorelin) or GH secretagogues, what is the target level of IGF-1? There are no specific "goals" for serum IGF-1. Those are the purview of the treating physician. They are also affected by differential feedback strengths that are unique to each patient. The Endocrine Society has published…

Patients seeking hormone and wellness related treatments sometimes encounter high costs associated with the required blood work. Being able to source affordable lab testing is key to having a program that employs laboratory assessment and early intervention to improve physiological, nutritional/hormonal, emotional/cognitive and physical function. Routine monitoring of patient biomarkers…

"Effective July 17, 2017 the LabCorp reference range for total testosterone measurement in adult males will be changing (DECREASING) to 264 - 916 ng/dL (previously 348 - 1197 ng/dL). Please note the METHODOLOGY for the assay is not changing in any way, only the reference range is changing. Reasons for this…

Another method of administering testosterone is through transdermal absorption. Testosterone is available as a transdermal delivery system (TDS) in various concentrations for topical application. Testosterone is purchased in raw form (testosterone base) by compounding pharmacies and drug manufactures to be used to create various testosterone products. A specific concentration of…

Compounded injectable testosterone medications like cypionate are presently being pushed out of the market. Compounding pharmacies provide a low cost alternative to standard and more expensive manufactured brand name medications. In the case of testosterone, compounding pharmacies are able to obtain the FDA approved raw material to compound testosterone into…

The removal of blood for health purposes has been practiced for several thousand years. Across many societies the act of “bloodletting”, or removal of blood, was thought to cure a multitude of ailments. Ancient Egyptians (circa 1000 BC) believed that occasionally self- sacrificing some blood improved spirituality and cured the…

With the ever increasing price of the brand “Armour Thyroid”, which is a popular thyroid medication we prescribe, I wanted to take a moment to explain the different thyroid medications. We have options for our patients which are a better cost and it is important for you to understand the…

Elevated E2 During TRT: To Treat or Not To Treat? TRT may lead to elevations in serum estradiol (E2) and in some cases to levels above the upper limit of normal. The development of nipple or breast tenderness or frank gynecomastia has been reported in association with TRT, and in…

Sarcopenia is defined as the loss of muscle, fat free mass (FFM), and loss of strength experienced by men and women as they age. This is usually coupled with an increase in body fat. This change in our body resulting partly from a decline in testosterone and GH levels results…

One of the most frustrating things for a guy on testosterone replacement therapy is when the pharmacy cannot refill medication due to it being on "back order". Back-order can of course mean many things, and since pharmacies sometimes fail to explain to the patient what is happening I thought I…

Click here to view full article titled "Testosterone needs estrogen's help to inhibit depression" by Professor Mohamed Kabbaj from Florida State University College of Medicine. http://www.defymedical.com/video-education/health-articles/332-testosterone-needs-estrogens-help-to-inhibit-depression Article commentary by Jasen Bruce Men and women on testosterone replacement therapy who previously suffered from low testosterone and depression already understand the positive…

Testosterone is often mistakenly defined as a hormone that is important for men only. Studies and practical obervation has shown that testosterone is a very important hormone for women too. Women experience a rapid decline in sex hormones such as estradiol and testosterone while aging. Other important hormones that can…

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A recent study of a male population explores the relationship between testosterone and erectile function. As suspected, higher levels of testosterone equals a better erection and improved sex drive. This study also helps to explain the different types of blood tests used to check testosterone, and why it is important…

This study found that maintaining testosterone levels above 550ng actually reduced cardiac disease risk. Note that they tested estradiol levels, which was lacking in the inaccurate study recently published. In addition, they found negative correlation between testosterone levels are type 2 diabetes risk. This study was done over 5 years…

During the previous years large surge in testosterone prescriptions and TRT clinics there are unfortunately many men who have been misdiagnosed with low testosterone, yet placed on TRT when it may not have been needed in the first place. If you are one of these men and you are considering…

Why do I need blood work? One of the purposes behind drawing blood for analysis is to provide our physician a means to compare how you are responding to therapy with your hormone blood levels and other important indicators of your health. This information allows Dr. Saya to make appropriate…